Table 4.
Effect of AAC + TMCP on provision of tobacco cessation support
| AAC only | AAC + TMCP | AAC + TMCP—among clinicians who used the Document FlowSheet | ||||||
|---|---|---|---|---|---|---|---|---|
| N | % | N | % | OR (95% CI)a | N | % OR (95% CI)b | ||
| Total VISITS | 77,500 | 41,774 | 661 | |||||
| Asked | 38,687 | 49.9% | 26,452 | 63.3% | 1.73 (1.70, 1.77) | 492 | 74.4% | 1.89 (1.62, 2.20) |
| Visits by smokers | 13,342 | 8198 | 466 | |||||
| Advised | 11,323 | 84.9% | 7466 | 91.1% | 1.97 (1.81, 2.14) | 443 | 95.1% | 3.21 (2.19, 4.72) |
| Assessed Readiness | 8848 | 66.3% | 4684 | 57.1% | 0.66 (0.62, 0.69) | 347 | 74.5% | 1.24 (1.00, 1.54) |
| Ready to quit | 2690 | 1073 | 93 | |||||
| Accepted Any Referral | 1176 | 43.7% | 369 | 34.4% | 0.66 (0.57, 0.77) | 43 | 46.2% | 1.00 (0.66, 1.51) |
| Accepted QL Referral | 827 | 30.7% | 252 | 23.5% | 0.68 (0.58, 0.80) | 22 | 23.7% | 0.71 (0.45, 1.14) |
| Accepted FFS Referral | 349 | 13.0% | 117 | 10.9% | 0.79 (0.64, 0.98) | 21 | 22.6% | 1.45 (0.85, 2.49) |
|
PATIENTS Ready to quit |
2239 | 1001 | 93 | |||||
| Accepted Referral | 1089 | 48.6% | 357 | 35.7% | 0.59 (0.47, 0.74) | 43 | 46.2% | 0.80 (0.50, 1.29) |
| Accepted QL Referral | 765 | 34.2% | 247 | 24.7% | 0.64 (0.50, 0.82) | 22 | 23.7% | 0.58 (0.38, 0.90) |
| QL Referrals Received | 649 | 200 | 15 | |||||
| QL Contact | 211 | 32.5% | 44 | 22.0% | 0.58 (0.36, 0.95) | 3 | 20.0% | 0.53 (0.18, 1.55) |
| QL Enrollment | 158 | 74.9% | 29 | 65.9% | 0.65 (0.35, 1.23) | 33.3% | 0.15 (0.01, 1.96) | |
| Accepted FFS Referral | 328 | 14.7% | 112 | 11.2% | 0.74 (0.58, 0.95) | 21 | 22.6% | 1.42 (0.86, 2.34) |
| FFS Referrals Received | 276 | 106 | 21 | |||||
| FFS Contact | 75 | 27.2% | 23 | 21.7% | 0.82 (0.53, 1.26) | 5 | 23.8% | 1.00 (0.46, 2.18) |
| FFS Enrollment | 50 | 66.7% | 18 | 78.3% | 1.74 (0.47, 6.40) | 3 | 60.0% | 0.79 (0.12, 5.18) |
| Medications | 1126 | 14.9% | 718 | 12.4% | 0.81 (0.74, 0.88) | 139 | 3.7% | 2.61 (1.92, 3.55) |
| Smokers with two or more visits in period | 2132 | 1996 | 216 | |||||
| Quit attempts c | 44 | 2.1% | 45 | 2.3% | 1.09 (0.72, 1.67) | 8 | 3.7% | 1.95 (0.86, 4.45) |
a Comparison is post-TMCP to post-AAC period among clinicians who received training
b Comparison is post-TMCP for visits in which a document flowsheet was used compared to visits during the post-AAC period to clinicians that ever used the doc flowsheet
c Quit attempts are defined based on 2 or more visits in the time-period, a change in smoking status from current smoker to former smoker and documentation of a quit date